Pricing ranges from
    $5,150 – 6,695/month

    ActivCare 4S Ranch

    10603 Rancho Bernardo Rd, San Diego, CA 92127
    • Assisted Living
    • Memory Care

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    5.00·(16)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      5.0
    • Meals

      4.5
    • Amenities

      4.5
    • Value

      4.0

    Pros

    • memory-care specialization
    • excellent caregiver-to-patient ratio
    • compassionate, well-trained staff
    • dementia-care expertise
    • consistent staffing and continuity of caregivers
    • 24/7 nursing availability
    • engaging daily activities and programming
    • large, bright common areas for socialization
    • private suites with en-suite bathrooms
    • secure single-story design with clear evacuation routes
    • outdoor patio spaces
    • nutritious, well-prepared meals
    • proactive infection-control (COVID) protocols
    • attentive management and family communication

    Cons

    • higher-than-average pricing
    • location may be distant for some families

    Summary of reviews

    ActivCare @ 4S Ranch is described predominantly as a dementia-focused memory-care community with a strong emphasis on clinical staffing and individualized attention. Reviewers highlight a favorable caregiver-to-patient ratio, on-site nursing coverage, and staff trained specifically for dementia care. These elements combine to produce an environment many families find supportive for long‑term memory-care needs, with staff behavior characterized as compassionate, attentive, and consistent.

    Care and staffing are recurrent strengths in the reviews. Families note staff consistency, frequent communication from leadership, and a willingness to provide above‑and‑beyond assistance. The presence of a nurse who can be accessed at any time and staff comfortable with dementia‑related questions are cited as contributing to a higher level of clinical reassurance. The community also received positive feedback for maintaining infection‑control measures during COVID‑19 and for providing attentive support to families.

    Programming and dining are additional strong points. The facility offers a wide range of daily activities — exercise, beauty services, social events, and flexible programming in large main activity rooms — which reviewers say promote social engagement and structure. Public spaces are described as roomy and bright, with outdoor patios that support safe outdoor time. Dining is characterized as nutritious and well prepared, and reviewers generally found meal service to be a positive part of resident life.

    The physical plant and safety features are repeatedly noted as advantages. Reviewers describe a new, clean, and cheerful environment with private suites and en‑suite bathrooms, single‑story circulation that simplifies movement and evacuation planning, secure exits, and clear evacuation routes. Management and leadership drew favorable mention for accessibility and responsiveness; a number of families singled out the administrator and managers for effective communication and oversight.

    Primary caveats center on cost and geography. The facility is described as more expensive than some alternatives; several families felt the pricing was justified by the staffing levels and services, while others identified cost as a limiting factor. A separate practical consideration is location — for families living farther away the community may be less convenient. Overall, the pattern across reviews is high satisfaction with clinical care, activities, facilities, and management, tempered mainly by concerns about affordability and relative distance for some families.

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    Location

    ActivCare 4S Ranch is located at 10603 Rancho Bernardo Rd, San Diego, CA, 92127.

    About ActivCare 4S Ranch

    ActivCare 4S Ranch is a senior living community in San Diego made for adults with Alzheimer's disease or other dementias, and the place was designed from the ground up to provide memory care at every stage of memory loss, starting with early changes and going on through to advanced needs, so folks can move in at different points in their journey and get help that matches where they're at, and there's a special section called The Ranch Club for people in the early stages of memory loss or Mild Cognitive Impairment. The facility opened in June 2016, holds a license (license number 374603714), accepts up to 60 residents, and offers both private and semi-private rooms so folks have some choice about where they live, and they've got nursing staff there all day and night, 7 days a week. The building has indoor areas like a great room for activities and socializing, dining rooms big enough for family to visit, and a secure Memory Care environment with its own entrance, plus outdoor courtyards, walking paths, manicured gardens, and patio spaces for getting some air and maybe tending a few plants during ActivFit or gardening classes-so there's plenty to do and a lot to see, if you like being out or just sitting somewhere peaceful. They serve meals, including vegetarian options if you need them, and there's nursing care on-site for managing things like insulin and ostomy care, so folks with medical needs aren't left out. Residents join in daily activities-some take place in the building, others outside in the community-and there's devotional services, a beautician in-house, volunteer programs through something called ActivCorps, regular email and text updates sent out, and specialized services like assisted living, skilled nursing, and independent living all in the same place, so people's care can change as their needs do. ActivCare 4S Ranch also supports people who use the San Diego Regional Center, provides SSI beds, and is part of a bigger network called ActivCare Living with other locations in places like Laguna Hills, Bressi Ranch, Mission Bay, Rolling Hills Ranch, and Yorba Linda. The staff is trained for memory care, and there's a good ratio of caregivers to residents, with a setup meant to keep people secure and engaged-even things like a main activity room, great indoor spots for relaxing or visiting, and lots of opportunities for socializing or keeping a routine. Folks can bring their own care needs, since they offer everything from assisted living to nursing home services, and the program brings in resources for setting up care plans and keeping track as needs change. The focus is always on dementia care, making sure residents get a mix of safety, tailored services, and activities to help maintain their quality of life in a quiet, comfortable, and really home-like setting.

    People often ask...

    ActivCare 4S Ranch offers competitive pricing, with rates starting at a cost of $5,150 per month.

    ActivCare 4S Ranch offers assisted living and memory care.

    There are 24 photos of ActivCare 4S Ranch on Mirador.

    The full address for this community is 10603 Rancho Bernardo Rd, San Diego, CA 92127.

    No, ActivCare 4S Ranch does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.

    License number374603714
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity60 residents
    LicenseeRAC DOVE CNYN,INCOME PROPERTY GRP;ACTIVCARE LIVING
    EffectiveJune 16th, 2016
    View the official license record

    Inspection Reports

    15

    Reports

    0

    Type A Citations

    1

    Type B Citations

    2

    Complaints

    7

    Years

    16 Jun 2026Inspection
    Found no deficiencies. The setting showed adequate safety, care, and activity engagement, with maintenance underway.
    22 Dec 2025Inspection
    Observed no health or safety concerns or deficiencies during the visit.
    07 May 2025Inspection
    Observed clean, sanitary conditions with functioning systems and adequate supplies; no deficiencies were found.
    21 Nov 2024Complaint
    Investigated an allegation that staff left a resident on the floor after a fall; interviews and records indicated the resident chose to crawl to the restroom and there were no injuries.
    26 Jun 2024Inspection
    Observed no deficiencies during an unannounced annual visit.
    16 Oct 2023Inspection
    Observed secure perimeters, proper medication handling, adequate staff on duty, and clean, well-maintained resident areas.
    06 Sept 2023Inspection
    Conducted an unannounced case management visit; signatures were collected and an amended report was delivered.
    18 Jan 2023Inspection
    Identified an incident involving a resident fall resulting in hospitalization and death. No health and safety concerns or deficiencies were identified during the visit.
    06 Jan 2023Inspection
    Identified an AWOL incident where a resident left unobserved and was returned by law enforcement, and noted that there was an inadequate number of direct care staff to support residents with dementia.
    • Type B87705(c)(4)
    16 Jun 2022Inspection
    Observed proper infection control measures were in place with no deficiencies identified.
    14 Dec 2021Inspection
    Investigated an unusual incident involving a resident's death. Further investigation was required.
    29 Jun 2021Inspection
    Observed infection control measures in place and no deficiencies were cited.
    08 Oct 2020Inspection
    Found that a resident sustained a right hip fracture from a witnessed fall on 08/16/20 and that the incident was self-reported on 08/24/20. Conducted a telephone interview with the administrator, requested records, and no deficiencies were issued.
    24 Jun 2020Inspection
    Confirmed removal of individual with non-exemptible conviction following unannounced visit.
    26 Nov 2019Complaint
    Confirmed that the allegation of neglect leading to a resident's death was unsubstantiated.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of ActivCare 4S Ranch. The information above has not been verified or approved by the owner or operator. For exact information, please contact ActivCare 4S Ranch directly. There is no cost for this service. We are compensated by the community you select.

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